Active NPI
Paul Houck, MS ATC
- Athletic Trainer
- East Syracuse, NY
National Provider Identifier
1760934947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 120402227
- Practice address
- 6318 Fremont Rd
East Syracuse, NY 13057-9435 - Phone
- (315) 434-3050
- NPI assigned
- Nov 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 120402227 | NY | Primary |
Addresses
Primary practice location
6318 Fremont Rd
East Syracuse, NY 13057-9435
Mailing address
6318 Fremont Rd
East Syracuse, NY 13057-9435
Phone (315) 434-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120402227 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1760934947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 FREMONT RD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579435",
"telephone_number": "315-434-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6318 FREMONT RD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579435",
"telephone_number": "315-434-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUCK",
"first_name": "PAUL",
"credential": "MS ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "120402227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.